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Related Concept Videos

Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Specialized Care Centers and Settings-I01:30

Specialized Care Centers and Settings-I

Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Restorative Care01:19

Restorative Care

Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
Community Based Intervention01:30

Community Based Intervention

Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Electroconvulsive Therapy01:30

Electroconvulsive Therapy

Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early years,...
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Treatment Strategies for Psychological Disorders

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Related Experiment Videos

Extended outpatient civil commitment and treatment utilization.

Steven P Segal1, Philip Burgess

  • 1Mental Health and Social Welfare Research Group, School of Social Welfare, 120 Haviland Hall MC 7400, Berkeley, CA 94720-7400, USA.

Social Work in Health Care
|September 8, 2006
PubMed
Summary

Extended involuntary outpatient commitment orders in Victoria increased community service use and reduced hospitalizations. These orders helped maintain community-based care, acting as an alternative to inpatient treatment for psychiatric patients.

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Area of Science:

  • Psychiatry and Mental Health Services Research
  • Public Health Policy and Law

Background:

  • Involuntary outpatient commitment (IOC) is a legal mechanism used to mandate psychiatric treatment within the community.
  • The impact of extended IOC orders on service utilization and treatment outcomes remains an area requiring further investigation.

Purpose of the Study:

  • To evaluate the effects of extended involuntary outpatient commitment orders on psychiatric service utilization.
  • To compare service use patterns between patients under extended IOC and a matched comparison group.

Main Methods:

  • A retrospective study using the Victorian Psychiatric Case Register (VPCR) data.
  • Inclusion of patients with extended (180+ day) IOC orders and a matched comparison group (N=1182).
  • Analysis of pre/post episode service utilization using paired t tests, logistic/OLS regression, and repeated measures ANOVA.

Main Results:

  • Extended IOC orders were associated with reduced hospitalization and increased outpatient service utilization.
  • Outpatient service levels for patients on IOC orders reached those of the compliant comparison group.
  • Approximately six community care service days were needed to achieve a one-day reduction in hospital use post-episode.

Conclusions:

  • Extended involuntary outpatient commitment in Victoria facilitates community-based psychiatric services.
  • This system provides a viable alternative to hospitalization for individuals requiring ongoing mental health support.
  • The findings underscore the role of legal frameworks in enabling community care provision.